| NPI | 1023042819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSIE WARMAN Manager Pharmacy Licensing 513-762-1090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: OH 020153550) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-02-04 |